Question for you: How do you find your medical provider?
The most obvious of answers to this question is our dear
friend, Google. What was life like before this search engine giant? I
don't remember. I mean, seriously, who doesn't google twenty things
throughout the course of the day? The truth is, however, there are many other great
sites specifically dedicated to helping patients find a qualified medical
A newer site that I find to be particularly useful is Zoc
Doc. You can browse the net, shop, order food and now book the next
available appointment with your doctor all within a couple of clicks. This
option saves the often time-consuming step of the phone call. Who likes to
wait on hold, anyway? Man, I wish I had thought of that.
What I also like about sites like Zoc Doc is that all of
the reviews on their site are of confirmed patients. The medical office
must confirm that they were seen before the review is posted. And patients
on the site tend to show the important things that other potential patients
would typically consider in choosing a provider, such as overall impression, quality
of care, wait time, etc. It is not simply a site with positive or negative
feedback from people who are not even confirmed patients.
I think accuracy in reviews helps both patients and
providers who are on the sites - negative feedback (if from a real patient) can
serve to better the practice. This site, unlike some others out there,
seems to represent offices as professional establishments and not simply a
forum for people to rant and rave on their site.
As of right now, there is no way to list non-MD
providers on Zoc Doc. Hmm...I may just have to send this over to them. PAs
and NPs feel free to comment/voice your thoughts on this and maybe we can remind them that we are
valuable players in the world of medicine and if listed under the supervising
physicians could really help patients by providing quality care. All in
all, I am a fan of such sites that provide useful information to patients and
make it easier for them to seek care.
Over the years we have introduced various medical skin care
products and aesthetic procedures such as laser resurfacing, chemical peels and
micro-needling that result in temporary redness, dryness and irritation. At times, instructions for use of moisturizers
for irritation from skin care products or post procedures are not specific enough.
So much time and effort is taken to learn about products that are therapeutic,
and the importance of moisturizers is not given enough attention.
Patients starting on a medical skin care program may not be as
compliant with their regimen if they lack instruction on what moisturizer to
use that when they experience skin irritation and dryness. They either stop
their skin care regimen due to irritation or they fumble on their own through
the local drug stores or the cosmetic counters for products to relieve their
Aquaphor is one of the most common products recommended,
especially after Fraxel or Fractional CO2 laser resurfacing. Frequently,
patients become upset and complain of acne-like breakouts. Breakouts result in
longer downtime than expected post-procedure and require handholding and
Cutagenix is a product that has been well accepted by our
patients who are starting a medical skin care program or post-procedure. Other
practices have used it for various dermatological issues such as radiation
dermatitis. Cutagenix is an emulsion that consists of perfluorodecalin and plant
derived emulsifiers. Emulsifiers surround small droplets of the perfluorodecalin
and create a uniform and stable emulsion. It has the consistency of light
Perfluorodecalin is a biologically inert liquid capable of
dissolving and exchanging oxygen with the environment. Perfluorodecalin, the
key ingredient in Cutagenix, is a biocompatible material that has a high
affinity for oxygen. Skin derives oxygen from the atmosphere. Unlike products
like aquaphor that can create a barrier and inhibit oxygen from reaching the
skin, this highly oxygen permeable emulsion can soothe and calm irritated skin
to breath so it can help restore itself naturally.
Our patients are happier and more comfortable post
procedures. In addition, patients are more compliant with their medical skin
care regimen when they have Cutagenix to soothe the dryness and irritation if
Hyaluronic acid is a basic element in
connective skin tissue. As a hyaluronic acid filler, Belotero is effective
because of its ability to attract and retain water. Hyaluronic acid also
helps to nourish and moisturize the skin. Unfortunately, as we age the
hyaluronic acid in our skin diminishes.
Belotero is a highly anticipated filler and
is unique to all others on the market. It is perfect for rejuvenating
areas such as the frown lines, smile lines, chin folds, Marionette lines (that
give us a sad and tired expression), earlobes and lips and philtrum (commonly
known as smoker's lines).
This filler is excellent for very fine lines
that other common fillers are not able to correct. At our practice, we
love it around the lips for those stubborn "lipstick lines" and
along the eye region. Really, for any superficial or thin line this is a
great product to use in conjunction with other fillers for superior results.
Belotero is natural and therefore it
integrates smoothly into the skin with minimal side effects, such as mild swelling
at sites of injection. Although hyaluronic acid is absorbed by the body
harmlessly in approximately 4-6 months, there are longer lasting results as the
hyaluronic acid retains volume by binding water molecules.
How is Belotero different from other
hyaluronic acids such as Restylane, Perlane and Juvederm?
While chemically all of the
hyaluronic acids are similar, they are very different in structure. Restylane
is composed of small particles. Perlane is similar but has a larger
particle size. Juvederm is manufactured as a smooth gel. Juvederm is
easier (smoother) to inject and causes less tissue irritation.
Please visit http://www.belotero.com/ for more
information on Belotero.
Growth factors enhance the skin's natural ability to
heal and regenerate to produce more youthful skin. Growth factors are
proteins that regulate cellular growth and the activity of skin cells. There
are multiple growth factors responsible in maintaining healthy skin. As we
age, the production of growth factors such as TGFB reduces and contributes to
the development of fine lines and wrinkles.
Years ago, when Skin Medica first developed the TNS Recovery
Complex (Tissue Nutrient Solution), our patients and staff were pleased
with the improvement in their skin quality. Over the years,
various product lines have developed growth factors and we were intrigued with
the newness, packaging and scents of some of them.
As "growth factors" become more popular, we are
often asked, "What is the difference between one product and
another?" Growth factor products vary in type and concentration of these
TNS originates from human fibroblasts and is
blended with antioxidants, cytokines, matrix proteins and a rich
concentration of growth factors in a physiologically balanced preparation
that reduces pigmentation, improves skin texture and reduces the
appearance of fine lines and wrinkles.
After reviewing reproducible clinical studies we
have switched back to the TNS Recovery Complex, which continues
to prove to contain the highest concentration of growth factors (93% concentration) compared
to newer brands that we have carried in
Full strength TNS now combined with advanced peptides, skin-brightening
alpha-arbutin and seven potent antioxidants as one product in two chambers
called TNS Essential Serum. TNS Essential Serum produces an
impressive list of anti-aging results, such as improvement of fine lines
and wrinkles by 44%; reduced age spots, photo damage and
dyspigmentation; enhanced skin tone up to 16%; and enhanced textural
roughness by 89% after twelve weeks of twice daily use. Clinical studies show
that initial results occur in 30 days with optimal results in 90 days.
TNS Essential Serum can be used on all skin types. It can
be applied to the face, neck, décolleté and back
of the hands. It is an ideal product for patients who want to
keep skin care simple, while benefiting from clinically proven
Have you noticed that we live in a dehydrated world full of
carbonated beverages, caffeine and alcohol? I know people who consume multiple
sodas, juices and coffees a day. But what about water? Drinking adequate
amounts of water daily is important for overall good health because water aids
in digestion, circulation, absorption and even excretion.
Our skin is an organ (the largest organ in our body, in fact)
and just like any other part of the body our skin is made up of cells. Each
cell that comprises the skin is made up of - you guessed it...water! Without
water, our organs would certainly not function properly or at their best.
Therefore, for truly healthy skin, water is a must! Water is
the single most important element for cellular integrity. Drinking water
moisturizes your skin from the inside out.
However, when water is ingested it does not go straight to
the skin - it goes through the intestines, gets absorbed into the blood stream,
and is filtered by the kidneys. Therefore, drinking a lot of water, such as the
recommended eight, 8-ounce glasses is key.
If your skin is not getting the sufficient amount of water
it needs, the lack of hydration will present itself by turning your skin dry,
tight and flaky. Dry skin has less resilience and elasticity and is more prone
Aside from the skin healthy perks, other benefits of water
include: reducing your risk of heart attack, cushioning joints and muscles, reducing
our risk of disease and infection, regulating our body temperature, helping us
to burn more fat and build more muscle, giving us energy... should I continue? I'll
save those specifics for another post.
But please remember: The next time you find yourself
ordering a diet Coke - why not make that a nice tall glass of water? Your skin
will thank you later.
As spring and summer entice the sunshine and warm weather, short sleeves or sleeveless tops and spaghetti straps are the favorite fashion. Yet some people prefer long sleeves and sweaters year-round because they feel self conscious about their arms.
Due to the social climate of southern California, patients come to our clinic year-round presenting with various complaints about their arms, looking for nonsurgical means to improve their appearance.
Here is a list of common complaints that I hear. Below each complaint I have listed interventions that we have had success with:
- Flappy "bat wings" due to skin laxity
-Coolbreeze Laser Rejuvenation
- Irregular texture due to cellulite
- Lack of muscle tone and definition
-Power Plate Fitness
Nonsurigical therapies include devices that utilize radiofrequency to stimulate skin tightening, such as Viora Reaction and Thermage or long wavelength lasers that are safe for all skin types. Patients usually see some improvement in skin tightening immediately, but most of the action is based on collagen stimulation that takes up to 3 months for patients to see a difference.
Patients usually experience continued skin tightening for six months or more. When collagen fibers are tightened, the skin appears smoother and cellulite is less apparent.
Although these radiofrequency devices are not specifically FDA-approved for treatment of excess fat in the upper arms, we see circumferential reduction in areas that have been treated in this off-label use. Patients who present with fat bulges and who want an alternative to liposuction can benefit from Coolsculpting, which safely freezes fat cells and requires no downtime.
Diet and exercise are always supplementary key components to body shaping. Arm exercises with weights can improve muscle tone and definition. In our clinic, we use Power Plate Fitness for toning various muscle groups.
The Power Plate is a revolutionary product that generates vibrations that are transferred from a platform to the body. Power Plate is based on "advanced vibration technology" that allows the user to isolate and train every muscle group of the body.
With as little as 10 minutes' focus on exercises for the upper body three times a week, patients can experience arms with more tone and improved muscle definition. Additionally, we see improvement in the appearance of cellulite in the arms due to the stimulation of lymphatic drainage.
Working in medicine, specifically dermatology, we know
there is no such thing as a "healthy tan." When it comes to educating
younger generations, I wish the effects of sun were immediate. I wish when
a young girl stepped out of the tanning bed she saw dark spots, wrinkles and skin
cancers forming on the body. Only then might she consider the harmful
effects of tanning.
We are a society desiring immediate results. Just as
we don't put down our cell phones (we might miss something that second,
right?), we want golden skin overnight even if that means stepping into an
artificial source. We are a generation of instant gratification. Most
people do not grasp the concept of photo-aging and the increased risk for skin
cancer that tanning brings with them until well after the damage has been done.
According to the Skin Cancer Foundation, in the United
States, the lifetime risk of developing invasive melanoma has risen to 1 in 51. Melanoma
is the most dangerous type of skin cancer with its known ability to metastasize.
Despite efforts to educate the public and limit young
individuals from tanning, 30 million Americans visit indoor tanning salons
annually, which fuels the $5 billion dollar a year industry. While there
is much more "awareness" regarding the dangers of indoor tanning, such
awareness has not had an effect on tanning behavior. In fact, there is
evidence linking the effects of tanning to be more than just skin deep. Research
links tanning with effects in mood and behavior similar to persons with
substance dependence disorders.
We must not only worry about the proven health risks photo
damage causes but also the psychological risks these behaviors carry with
them. Tanning is being treated as an addiction in many cases. With
patients reporting withdrawal symptoms such as those reported for opioid drugs
such as heroin.
As Dr.Kourosh of the University of Texas (Southwestern
Medical Center at Dallas), reports, "Prevention is always the safest route. If
you haven't started tanning, don't."
For more information, visit the Skin Cancer
wants beautiful, healthy skin. Patients seek various skin rejuvenation
treatments to reduce pore size, reduce pigmentation, tighten skin and reduce
fine lines, wrinkles, and scars.
using a device such as Dermapen is a skin rejuvenation procedure that can enhance
skin beauty. Using multiple micro-needles, various channels are made creating a
direct pathway into the skin. These channels allow enhanced absorption of
topical antioxidants, vitamins, hair loss products and PRP (platelet rich
have become more aware of the "Vampire Facelift". Micro-needling provides our
patients a simple method to have the Vampire Facelift administered. The other
options we offer included injection with or without tissue fillers that may
cause bruising or fractional laser resurfacing which results in social
of the skin is not new technology. It started many years before I started
cosmetic micropigmentation15 years ago. I started treating hypopigmented scars
using an advanced micropigmentation technique called multitrepanic collagen
dry cosmetic micropigmentation needles to stimulate natural re-pigmentation of
scars that lost pigment. I also used MCA to improve acne, burn, surgical or
traumatic scars. Micro-injuries to scars can boost collagen production,
resulting in improvement in scar texture and color.
reduction was seen when "smoker's lines" were treated. Often, fine lines around
the borders of the lips improved after permanent lip color procedures. As our
laser center grew, scars were primarily treated with various ablative and
non-ablative lasers. However, I still used MCA on scars on occasion up to this
with a device such as Dermapen is far superior to cosmetic tattooing needles
and other dermal rollers due to the size and number of the needles. There is
less trauma to the skin, which translates to less downtime for the patient. It
does not cause any collateral heat damage and can be used on all skin types.
and depth of penetration is adjustable, which allows the technician to use it
in more delicate areas such as under the eyes with more control. Scars can be
treated more deeply. Larger areas can be treated more quickly. The automatic
vibrating tip makes for a more efficient and effective, comfortable procedure. Most
of our patients are more comfortable than they anticipated.
the results of collagen stimulation are not expected to be seen for up to 3
months, patients experience a more radiant glow to their skin immediately.
As I plan my honeymoon in Italy I can't help but pause
for a moment and think about the incredible culture, great food, amazing coast
line - and then there's the man who only seems to get better looking, George
Clooney. Let's face it, the man is undoubtedly getting older but the years
have treated him well. Which brings me to the topic of this post:
anti-aging for men!
In our society, sure, men are allowed to age more so than
their female counterparts. But this doesn't mean they have to. Men
become "silver foxes" when their hair grays, or my favorite, "more
distinguished" as lines form. Meanwhile women dye their hair and use every
cream and injection imaginable to keep the lines away.
Well, someone must have become curious because it is no
longer just a "woman's job" to maintain her appearance and stay young. Now
more than ever, men are visiting aesthetic offices for non-medical care. More
men are becoming increasingly aware of what it means to care for their skin and
to lessen the effects of aging.
Treatments they are seeking include: skin care,
skin resurfacing, Botox, laser hair removal, hair transplantation, pigment
removal, chemical peels, tattoo removal and fat reduction, just to name a
Times have definitely changed when it comes to men being
open to aesthetics and I know the demand (as I see it every day) will continue
to grow. Just the other day, in fact, I was reading about a thriving
practice in D.C. dedicated exclusively to men's skincare and cosmetics.
The services they provide include Botox, laser hair
removal, hair transplantation, tattoo removal, laser treatment of hyperhidrosis
(or excessive sweating) and body sculpting to remove fat. The medical
director's (Dr. Tina Alster) concept is brilliant - give men a place to call
their own. This novel practice allows men to do treatments they might
ordinarily consider "feminine" or off limits in the comfort of an environment
that says it is okay. With the opening of this male exclusive facility, I
certainly think they are on to something.
So while we probably won't run into George on our
honeymoon (no Lake Como for us), I am definitely curious to see what the future
has in store for men's aesthetics - and famous faces such as Mr. Clooney are
now proof that men want to age gracefully too.
A skin analysis device can help
determine your patient's complexion profile. With so many options for skin
rejuvenation, it's difficult for practitioners, let alone patients, to choose
what treatment is right for them.
Skin analysis should be performed at
the first visit to your clinic to optimize your recommendations for the
patient's skin care and facial rejuvenation treatment plan. VISIA can provide
in-depth analysis for each individual, and the skin care and rejuvenation
treatment program can be tailored to his or her individual complexion
The VISIA system can evaluate
surface and subsurface levels of the skin. This multi-spectral imaging tool can
analyze and produce a multi-dimensional analysis profile on the patient's
complexion that reflects the patient's overall appearance and complexion
Multi-spectral imaging and comprehensive
analysis can provide us information for various areas affecting complexion
health and appearance and compares it to others with the same age and skin type:
Skin Tone Variation
Porphyrins (evidence of bacteria in
UV Spots - Photo-damage
Photography is very important in our practice. There
are occasions where it is difficult to determine the patient's response to
treatment due to photography with inconsistencies of technician, positioning or
lighting. VISIA imaging has provided invaluable assessment and monitoring of
our patient's complexion, giving us objective data on the effectiveness of our
skin care and treatment program for each individual.
Return to the ADVANCE for NPs & PAs homepage.
Whether you currently have acne or have suffered from
acne in the past, one thing we know for sure is that acne changes our
skin. This includes dark spots, red spots and indentations that remain
well after acne lesions have cleared. Exactly how this is treated is a
common concern of patients. Whether you work in internal medicine,
dermatology or cosmetics, why not help your patient improve their skin with
these simple tips:
- Encourage patients to leave their skin alone. This
means no touching, picking, rubbing, scratching... nothing! Less is more. Allow
inflammation to go down and many of the lesions will improve on their own,
- Encourage medical grade facials. Under medical
supervision, facials do wonders for the skin. Use gentle but effective
products and you will see results.
- A great conservative means to improve these types of
skin lesions is great skin care products such as retinol (or retinoic acid) to
turn over skin cells and stimulate collagen. This will help to give skin a
refreshed look, even skin tone and improve skin texture.
- Red or vascular marks respond well to intense pulse
light treatments (also commonly known as the Photofacial). These are
performed in the office and have little to no down time. There are also
over the counter hand held light sources (blue and red light) that could serve
as a good option for the right candidate.
- Sun protection is a must. The sun loves to cause
negative vascular changes to our skin. Remember any sign of tan equates to
damage to the skin and will keep those red spots there much longer. So
please always stress to these patients to wear sunblock. No if, ands, or
buts about it. Don't have one you love? Ask your skincare
- Peels, such as glycolic and TCA, are great options
depending on skin type and severity. Recommend them in a series for best
- Using fractitionated laser, or even a CO2 laser for
more severe cases, is a wonderful option to improve textural discrepancies and
indentations frequently left behind from cystic acne.
- For brown pigment (melanin or hemosiderin deposited in
the skin) topical treatments with hydroquinone or antioxidants work wonders. Use
in combination with retinoic acid. Again, stress the importance of sun
protection and proper skin care.
- Did I mention telling them not to touch their skin? Sounds
so simple, yet it is so important to treatment success.
- Last but not least, do not
overlook acne treatment. Patients may visit you for "acne scars" when in
reality they do not have their current acne under control. The most
important step is to make sure you are treating the acne and have the skin
stable. From there they will already be much improved and you can move
ahead with their trust!
Five Common Beauty Problems
- Acne/Acne Scars - Systemic medication such as Accutane with
potential serious side effects may be avoided with the use of topical
anti-acne and antibiotics combined with Cooltouch and Spectra Laser treatments
that help to reduce over-productive sebaceous glands without downtime. Also,
these lasers stimulate collagen production so patients see improvement in their
- Brown Spots and Melasma can
now be treated safely and effectively with a Q-switched Spectra Laser enhanced
with the topical application of hydroquinone and tretinoin. Melasma
sufferers can now experience long-term results because this treatment will
change abnormal melanocytes structurally to behave more like normal cells.
- Age-Reversing Non-Ablative
Lasers can reduce fine lines, wrinkles and pore size as well
as tone and tighten skin. With a series of treatments that can be performed
during your lunchtime, you can see remarkable results.
- Skin analysis is
recommended to determine the status of your skin compared to those in the
same age group. A Visia Skin Analysis can give a baseline report of your
skin's UV damage, brown spots, pore size, underlying redness, wrinkles,
bacteria and texture. It provides objective data to monitor treatment
- Don't forget your neck,
chest and hands. Frequently, a mis-match is apparent between the skin on
the face and the skin on the neck, chest and hands. As you start to
protect, preserve and rejuvenate your skin with anti-aging creams and
age-reversing treatments, don't forget about your neck, chest and hands.
Five Tips for Makeup
- Permanent Makeup Beauty
24/7. Why not wake up with makeup? Soft, subtle and natural. It
doesn't have to look scary. Take caution in choosing an experienced technician,
preferably in a medical spa setting.
- Skin Care in Your Makeup Jane
Iredale Glow Time - BB Cream nourishes your skin while protecting it from UV
and free radical damage. It covers blemishes, minimizes pores, disguises wrinkles,
smoothes and brightens skin. It helps promote luminous and radiant skin.
- Latisse for Eyelashes The only
FDA-approved prescription treatment for inadequate or not enough lashes. Lashes
grow longer, fuller and darker. Latisse can double eyelash fullness in 16
- Lipstick Bleeding into Lip
Lines Lip lines, often referred to as "smoker's lines"
although more related to genetics, can make lipstick look sloppy. Restylane
or Juvederm can fix this instantly. A small amount of product can be used
to give the lips a more defined and hydrated look rather than a "ducky" or
"trout pout" appearance.
- Dark circles - Tired Look Save
money and time on concealers. In a majority of cases, dark circles
are related to volume loss in the face, creating a hollow look that appears as
dark semicircles under the eyes that make a person look tired. Tissue
fillers can be used to instantly reduce the dark circles and make you look more
rested and refreshed.
Move over Botox and Dysport. There's a new
botulinum on the market. Incobotulinumtoxin A, or Xeomin, is the latest
serotype A botulinum toxin available. Manufactured by Merz Aesthetics, it
has been used in Europe since 2008 with over 84,000 patients treated to date
worldwide. Xeomin was originally FDA approved in the US for the treatment
of cervical dystonia and blepharospasm in 2010. It was not until July 2011
that Xeomin was approved for the cosmetic treatment of moderate to severe
glabellar (frown) lines.
What sets Xeomin apart from its competition is that it
contains no binding proteins, giving it the nickname "naked" neurotoxin. In
this "naked" neurotoxin complex, the therapeutic or active component is
isolated and the surrounding ancillary proteins are removed. This
formulation yields high biologic activity and low protein load which could mean
less risk of the body developing antibodies against the product.
Such proteins may also have the potential to limit the
neurotoxin's effectiveness and potentially make patients resistant to
neurotoxins. Also in question is if removing the ancillary proteins
affects the diffusion factor of the product. Some physicians have concerns
about the spreading of Xeomin within tissue as it contains no proteins to
protect the stability around the active molecule.
Although the units between Botox and Xeomin appear
identical, they are not bioequivalent and therefore units of each are not
interchangeable. This will likely further be determined as it is used by
more providers and a certain comfort level with the product and efficacious
dosing is established. Xeomin does not require refrigeration prior to
reconstitution unlike all other botulinum toxins currently on the market. This
could lend to easier distribution as well as ensuring proper maintenance of
temperature and thus efficacy of the product.
What does this new addition mean for the world of
aesthetics? By having more options to choose from, competition among
manufacturers will increase and likely bring costs down. I don't hear
patients or providers complaining!
Among Xeomin are other botulinum toxin products which
are either under clinical investigation or currently seeking FDA approval. Such
agents to look out for include: Reloxin (a purified version of
Dysport, manufactured by Medicis) and Purtox (manufactured by Mentor). With
limited cosmetic data and provider experience with Xeomin, much remains to be
seen how it will fare in the aesthetics market. One thing is certain, as
the most popular cosmetic procedure in the world, we are sure to hear a lot
more about Xeomin and these other botolinums in the near future.
Intense pulsed light - photorejuvenation - has been around
for over 20 years. It has grown rapidly
in popularity over the last decade.
It is the most popular non-ablative skin rejuvenation
treatment that has continued to show clinical improvement of skin quality with
little to no downtime, hence the name "Fotofacial."
With a series of treatments, patients can experience the
Healthier, smoother skin
Reduced redness and flushing
Reduced pore size
Reduced fine lines and wrinkles
Reduced sun damage
A more youthful look
More even skin tone
Increased collagen bundles
Recently a pilot study conducted by Anne Lynn S. Chang M.D.
et al. showed evidence of rejuvenation
at the genetic level. "Rejuvenation of Gene Expression Pattern of Aged Human
Skin by Broadband Light Treatment" is published in the Journal of Investigative Dermatology (2013) 133, 394-402;
doi:10.1038/jid.2012.287; published online 30 August 2012.
were treated with a series of 3 treatments on the forearm of broadband light
(BBL), 4 weeks apart. Skin biopsies used to obtain genetic material were taken
from the participant's treated area and a variety of comparisons were made to
the adjacent non-treated area.
The researchers used gene-sequencing technology to examine
the effects of BBL on skin aging. BBL is also known as IPL - Intense Pulse
Light or photo rejuvenation. They found that skin aging was associated with a
significantly altered gene expression level, which became "rejuvenated" after a
series of BBL treatments. The skin biopsies taken from the areas treated with
BBL showed gene expression level more similar to youthful skin.
This gives us a better understanding of what
happens on the molecular level of skin rejuvenation using broadband light (BBL, IPL). A series of photorejuvenation
treatments can restore the gene expression pattern of skin aged due to intrinsic
genetics or environmental factors and will then resemble younger skin.
sequencing is new technology that will continue to help researchers learn more
about the aging process of human skin and can now be used to show the miracle
transformation of skin using Intense Pulsed Light - hotorejuvention.
Vivatia is an advanced skin care system offering
patients undeniable results. This system is a new take on anti-aging skin care,
focusing on safe and effective delivery of key ingredients such as
anti-oxidants and hydroquinone.
Vivatia consists of 3 steps:
Gentle Cream Cleanser - A non-foaming cream cleanser that is hydrating while it
cleanses to remove impurities. It is specially designed for use with
high-potency retinoid therapy that we all know causes cell turnover (peeling) and
in patients' eyes "dryness." To calm the skin this cleanser contains
green tea, aloe vera and chamomile.
Active Repair Complex - A unique retinol formula with peptides, vitamins and
antioxidants which help to reduce the appearance of fine lines and wrinkles for
more radiant, younger-looking skin. This product is available in 0.5%, 0.75%,
1.0% pure retinol concentrations. It is recommended that patients start at 0.5%
and work up.
Brightening Coplex - This formulation combines 10 powerful brightening agents to
help even skin tone and fade dark spots. Included in this complex is 2%
hydroquinone, as well as niacinamide, whitonyl (palmaria palamata extract),
kojic acid, licorice root and arbutin.
How is Vivatia different from other anti-aging
products? Well for starters, Vivatia utilizes the proprietary foam
delivery of retinol - making the product "tough on aging" yet "gentle on
skin." Unlike some harsh products that make patients red and have unwanted
peeling, this system does the job with little irritation.
I love this because patients will really see
results with minimal redness or peeling that interferes with their busy life
style. We also love that with proper sun protection, this product is safe
for those who enjoy outdoor activities. Also, this product contains a
formulation of low dose hydroquinone (2%) that is safe to use year round.
I am a firm believer in treatment options for
patients. Many have tried everything and they will come to you
wanting something new and improved. In my opinion this is a
great topical treatment. I always encourage patients to understand that proper
skin care is not just achieved by a peel or laser treatment (especially for stubborn
conditions like melasma). While in-office treatments can greatly
enhance home care, using the right products consistently at home is a necessity
for glowing, happy skin.